| Religion | Church of England |
| Occupation | Soldier |
| Address | Grandview, Kellick Street, Waterloo, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Isabella Jane Wells, Kellick Street, Waterloo, New South Wales |
| Previous military service | Instructional Staff |
| Enlistment date | 20 August 1914 |
| Rank on enlistment | Lieutenant |
| Unit name | Machine Gun Company 9 |
| AWM Embarkation Roll number | 24/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Miscellaneous details (Nominal Roll) | see other |